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Anaesthetic Management of Parturient with Sickle Cell Disease and Uncontrolled Hypothyroidism for Emergency Appendicectomy
Sickle cell disease (SCD) is a rare clinical disorder characterised by chronic anaemia and episodes of vaso-occlusive crisis. Hypothyroid patients need additional levothyroxine supplementation during pregnancy1. Physiological changes of pregnancy add on to stress and may precipitate vaso-occlusive crisis and result in significant cardiorespiratory complications2. Surgery and anaesthesia during first trimester of pregnancy is avoided due to risk of miscarriage.
Keywords
Sickle Cell Anemia, Hypothyroidism, Pregnancy, Emergency Surgery.
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- Tammy J B, Mary H. Management of hypothyroidism during pregnancy. CMAJ 2007: 176(8); 1077.
- Brett. I. D, David J. B, Daniel. M. T. Anaesthesia for the parturient with sickle cell disease. Journal of clinical anaesthesia 1996.8:598-602
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